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Barbara Conway RGN, BSc (Hons), MSc Cardiovascular Clinical Team Leader NHS Darlington Co. Durham and Darlington Community Health Services
Title Barriers to the uptake and engagement in cardiac rehabilitation services among people from lower socio-economic backgrounds Doctorate in Nursing Science thesis submission 2010
Background to the study Government Led initiatives to involve service users The unheard patient Service development and innovation Previous research
Sample 10 participants 8 following a myocardial infarction 1 following cardiac surgery (with heart failure) 1 with angina All the participants were from the 5 poorest electoral wards of Darlington
Method Semi-structured interviews Data collection Themes and sub themes
Emerging themes Cardiac incidents and perceptions of what has happened Sense of symptoms Meeting health needs Dislike of groups Isolation Quality of life
Emerging themes Fear and shock Choices and risks Support – informal and formal Fear of hospitals Time and financial constraints The bingo factor
Lessons learnt from the study Involvement of patients who do not access services in service development Out of the box thinking by health care professionals Further research needed
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